Mike Brannan
@brannanm.bsky.social
Public Health Consultant, Barking and Dagenham Council.
Tweeting in personal capacity on public health issues.
Tweeting in personal capacity on public health issues.
Toolkit on scaling for impact volunteer-led organisation coproduce with 5 VCS organisations
Scale Vs growth
Two phases (Design, Systematise & Pilot)
Six mindsets required for sustainable scaling
bit.ly/44AwWqM
Scale Vs growth
Two phases (Design, Systematise & Pilot)
Six mindsets required for sustainable scaling
bit.ly/44AwWqM
April 25, 2025 at 10:41 AM
Toolkit on scaling for impact volunteer-led organisation coproduce with 5 VCS organisations
Scale Vs growth
Two phases (Design, Systematise & Pilot)
Six mindsets required for sustainable scaling
bit.ly/44AwWqM
Scale Vs growth
Two phases (Design, Systematise & Pilot)
Six mindsets required for sustainable scaling
bit.ly/44AwWqM
New Active Lives adults data:
Continued ⬇️physical inactivity (still 1 in 4 tho)
Persistent inequalities
No short term, but long term ⬆️economic inequalities in activity by individual & place
Activity lowest for those w 2+ inequalities
⬇️cycling
Pre-C19 levels of team sport
Continued ⬇️physical inactivity (still 1 in 4 tho)
Persistent inequalities
No short term, but long term ⬆️economic inequalities in activity by individual & place
Activity lowest for those w 2+ inequalities
⬇️cycling
Pre-C19 levels of team sport
April 25, 2025 at 10:39 AM
New Active Lives adults data:
Continued ⬇️physical inactivity (still 1 in 4 tho)
Persistent inequalities
No short term, but long term ⬆️economic inequalities in activity by individual & place
Activity lowest for those w 2+ inequalities
⬇️cycling
Pre-C19 levels of team sport
Continued ⬇️physical inactivity (still 1 in 4 tho)
Persistent inequalities
No short term, but long term ⬆️economic inequalities in activity by individual & place
Activity lowest for those w 2+ inequalities
⬇️cycling
Pre-C19 levels of team sport
Learning from 'Marmot places' approaches to ⬇️health inequalities @marmotihe.bsky.social @local.gov.uk
6 case studies from 50 places using local frameworks based on Marmot indicators
Can't do 1 or 2, do the 8;“Do the eight! We very consciously did not order them in priority.”
tinyurl.com/4dp4yy6z
6 case studies from 50 places using local frameworks based on Marmot indicators
Can't do 1 or 2, do the 8;“Do the eight! We very consciously did not order them in priority.”
tinyurl.com/4dp4yy6z
February 7, 2025 at 8:17 PM
Learning from 'Marmot places' approaches to ⬇️health inequalities @marmotihe.bsky.social @local.gov.uk
6 case studies from 50 places using local frameworks based on Marmot indicators
Can't do 1 or 2, do the 8;“Do the eight! We very consciously did not order them in priority.”
tinyurl.com/4dp4yy6z
6 case studies from 50 places using local frameworks based on Marmot indicators
Can't do 1 or 2, do the 8;“Do the eight! We very consciously did not order them in priority.”
tinyurl.com/4dp4yy6z
Thread explores 5% uplift in Public Health Grant still leaves in 25% lower than 15/16
Decline greatest in deprived areas.
Intervention cost per additional year of good health:
£3.8k Public Health
£13.5k NHS
Will limit progress on health inequalities & Prevention
Decline greatest in deprived areas.
Intervention cost per additional year of good health:
£3.8k Public Health
£13.5k NHS
Will limit progress on health inequalities & Prevention
February 7, 2025 at 7:51 PM
Thread explores 5% uplift in Public Health Grant still leaves in 25% lower than 15/16
Decline greatest in deprived areas.
Intervention cost per additional year of good health:
£3.8k Public Health
£13.5k NHS
Will limit progress on health inequalities & Prevention
Decline greatest in deprived areas.
Intervention cost per additional year of good health:
£3.8k Public Health
£13.5k NHS
Will limit progress on health inequalities & Prevention
McDonalds using f£ & legal means to stop LAs preventing new takeaways to protect residents
Evidence is clear that limiting density:
Supported by public (<1 in 10 opposed)
⬇️obesity
Save money 4 services
zenodo.org/records/1373...
Toolkit for LAs: zenodo.org/records/1334...
t.co/kyNyI9Ir8o
Evidence is clear that limiting density:
Supported by public (<1 in 10 opposed)
⬇️obesity
Save money 4 services
zenodo.org/records/1373...
Toolkit for LAs: zenodo.org/records/1334...
t.co/kyNyI9Ir8o
February 7, 2025 at 5:13 PM
McDonalds using f£ & legal means to stop LAs preventing new takeaways to protect residents
Evidence is clear that limiting density:
Supported by public (<1 in 10 opposed)
⬇️obesity
Save money 4 services
zenodo.org/records/1373...
Toolkit for LAs: zenodo.org/records/1334...
t.co/kyNyI9Ir8o
Evidence is clear that limiting density:
Supported by public (<1 in 10 opposed)
⬇️obesity
Save money 4 services
zenodo.org/records/1373...
Toolkit for LAs: zenodo.org/records/1334...
t.co/kyNyI9Ir8o
Great blog on how Prevention will never be funded without restructuring NHS funding (& significant funding & service reductions in acute system)
It doesn't mention it is 11 years since NHS 5 Year Forward View said "Getting serious about prevention"!!
Not everyone can/will be happy
t.co/4J5CddQbsf
It doesn't mention it is 11 years since NHS 5 Year Forward View said "Getting serious about prevention"!!
Not everyone can/will be happy
t.co/4J5CddQbsf
February 7, 2025 at 4:42 PM
Great blog on how Prevention will never be funded without restructuring NHS funding (& significant funding & service reductions in acute system)
It doesn't mention it is 11 years since NHS 5 Year Forward View said "Getting serious about prevention"!!
Not everyone can/will be happy
t.co/4J5CddQbsf
It doesn't mention it is 11 years since NHS 5 Year Forward View said "Getting serious about prevention"!!
Not everyone can/will be happy
t.co/4J5CddQbsf
Housing tenure & associated costs is increasingly leading to divergence in many outcomes for home owners & renters
Private renters pay 3x £/sq m than owners
This work suggests at least half housing affordability gap based on ethnicity relates to tenure
www.resolutionfoundation.org/publications...
Private renters pay 3x £/sq m than owners
This work suggests at least half housing affordability gap based on ethnicity relates to tenure
www.resolutionfoundation.org/publications...
February 7, 2025 at 4:41 PM
Housing tenure & associated costs is increasingly leading to divergence in many outcomes for home owners & renters
Private renters pay 3x £/sq m than owners
This work suggests at least half housing affordability gap based on ethnicity relates to tenure
www.resolutionfoundation.org/publications...
Private renters pay 3x £/sq m than owners
This work suggests at least half housing affordability gap based on ethnicity relates to tenure
www.resolutionfoundation.org/publications...
Interesting findings in annual survey of Londoners:
-Differences between home renters & owners
-Lower job satisfaction in those with lower health satisfaction
-Majority favour speed limits
-2 in 3 satisfied with local area
-Satisfaction in GP services
www.londoncouncils.gov.uk/news-and-pre...
-Differences between home renters & owners
-Lower job satisfaction in those with lower health satisfaction
-Majority favour speed limits
-2 in 3 satisfied with local area
-Satisfaction in GP services
www.londoncouncils.gov.uk/news-and-pre...
February 4, 2025 at 12:55 PM
Interesting findings in annual survey of Londoners:
-Differences between home renters & owners
-Lower job satisfaction in those with lower health satisfaction
-Majority favour speed limits
-2 in 3 satisfied with local area
-Satisfaction in GP services
www.londoncouncils.gov.uk/news-and-pre...
-Differences between home renters & owners
-Lower job satisfaction in those with lower health satisfaction
-Majority favour speed limits
-2 in 3 satisfied with local area
-Satisfaction in GP services
www.londoncouncils.gov.uk/news-and-pre...
Faith groups are critical public health partners
Report on social prescribing suggests roles at Neighbourhood, Place & System levels
Practical 'How to' guides' for SP Link workers & faith groups
www.churchworks.org.uk/our-work/wel...
Report on social prescribing suggests roles at Neighbourhood, Place & System levels
Practical 'How to' guides' for SP Link workers & faith groups
www.churchworks.org.uk/our-work/wel...
February 3, 2025 at 11:41 AM
Faith groups are critical public health partners
Report on social prescribing suggests roles at Neighbourhood, Place & System levels
Practical 'How to' guides' for SP Link workers & faith groups
www.churchworks.org.uk/our-work/wel...
Report on social prescribing suggests roles at Neighbourhood, Place & System levels
Practical 'How to' guides' for SP Link workers & faith groups
www.churchworks.org.uk/our-work/wel...
Regional & local breakdowns of annual social value of sport & physical activity
Constituents values:
'primary'-wellbeing participating & volunteering
'Secondary'- wider savings to health and social care system
For B&D it is £246k (£220k & £29k respectively)
www.sportengland.org/news-and-ins...
Constituents values:
'primary'-wellbeing participating & volunteering
'Secondary'- wider savings to health and social care system
For B&D it is £246k (£220k & £29k respectively)
www.sportengland.org/news-and-ins...
January 31, 2025 at 3:08 PM
Regional & local breakdowns of annual social value of sport & physical activity
Constituents values:
'primary'-wellbeing participating & volunteering
'Secondary'- wider savings to health and social care system
For B&D it is £246k (£220k & £29k respectively)
www.sportengland.org/news-and-ins...
Constituents values:
'primary'-wellbeing participating & volunteering
'Secondary'- wider savings to health and social care system
For B&D it is £246k (£220k & £29k respectively)
www.sportengland.org/news-and-ins...
Expert panel recommendation of new definition & diagnostic criteria for obesity based on clinical illness of pre-clinical or clinical obesity
Suggest focussing therapeutic interventions on clinical obesity
Aligns with NICE proposal for roll out of new weight loss drugs.
Suggest focussing therapeutic interventions on clinical obesity
Aligns with NICE proposal for roll out of new weight loss drugs.
January 15, 2025 at 9:56 AM
Expert panel recommendation of new definition & diagnostic criteria for obesity based on clinical illness of pre-clinical or clinical obesity
Suggest focussing therapeutic interventions on clinical obesity
Aligns with NICE proposal for roll out of new weight loss drugs.
Suggest focussing therapeutic interventions on clinical obesity
Aligns with NICE proposal for roll out of new weight loss drugs.
CMO report on health in cities
Considers characteristics & implications for health
Key challenges:
Health effects of housing
Food env
Vaccination & screening rates
STIs
Access to physical activity
Air pollution
Case studies incl London
Incl analysis of specific issues
www.gov.uk/government/p...
Considers characteristics & implications for health
Key challenges:
Health effects of housing
Food env
Vaccination & screening rates
STIs
Access to physical activity
Air pollution
Case studies incl London
Incl analysis of specific issues
www.gov.uk/government/p...
January 13, 2025 at 11:30 AM
CMO report on health in cities
Considers characteristics & implications for health
Key challenges:
Health effects of housing
Food env
Vaccination & screening rates
STIs
Access to physical activity
Air pollution
Case studies incl London
Incl analysis of specific issues
www.gov.uk/government/p...
Considers characteristics & implications for health
Key challenges:
Health effects of housing
Food env
Vaccination & screening rates
STIs
Access to physical activity
Air pollution
Case studies incl London
Incl analysis of specific issues
www.gov.uk/government/p...
Hackney SPD for child-friendly spaces
“Children are a kind of indicator species. If we can build a successful city for children, we will have a successful city for all people.”
8 designs principles
Incl activity/play on doorstep, not just playgrounds
hackney.gov.uk/child-friend...
“Children are a kind of indicator species. If we can build a successful city for children, we will have a successful city for all people.”
8 designs principles
Incl activity/play on doorstep, not just playgrounds
hackney.gov.uk/child-friend...
January 13, 2025 at 11:06 AM
Hackney SPD for child-friendly spaces
“Children are a kind of indicator species. If we can build a successful city for children, we will have a successful city for all people.”
8 designs principles
Incl activity/play on doorstep, not just playgrounds
hackney.gov.uk/child-friend...
“Children are a kind of indicator species. If we can build a successful city for children, we will have a successful city for all people.”
8 designs principles
Incl activity/play on doorstep, not just playgrounds
hackney.gov.uk/child-friend...
Report on housing impacts on health from @marmotihe.bsky.social
UK crisis:
1 in 7 CYP in temp accommodation
Costs £18.5bn/yr (educational achievement, productivity, H&SC), incl £1.4bn to NHS
Need cross-sector approach focusing on:
Quality
Supply
Affordability
Environment
Reccs across 8 areas
UK crisis:
1 in 7 CYP in temp accommodation
Costs £18.5bn/yr (educational achievement, productivity, H&SC), incl £1.4bn to NHS
Need cross-sector approach focusing on:
Quality
Supply
Affordability
Environment
Reccs across 8 areas
January 9, 2025 at 10:39 AM
Report on housing impacts on health from @marmotihe.bsky.social
UK crisis:
1 in 7 CYP in temp accommodation
Costs £18.5bn/yr (educational achievement, productivity, H&SC), incl £1.4bn to NHS
Need cross-sector approach focusing on:
Quality
Supply
Affordability
Environment
Reccs across 8 areas
UK crisis:
1 in 7 CYP in temp accommodation
Costs £18.5bn/yr (educational achievement, productivity, H&SC), incl £1.4bn to NHS
Need cross-sector approach focusing on:
Quality
Supply
Affordability
Environment
Reccs across 8 areas
Considering 'missingness' rather than DNA for appointments could improve efficiency & outcomes
Study of 824k patient records
High # missed GP appointments➡️high outpatient & inpatient hospital care but not emergency care signalling high treatment burden
pmc.ncbi.nlm.nih.gov/articles/PMC...
Study of 824k patient records
High # missed GP appointments➡️high outpatient & inpatient hospital care but not emergency care signalling high treatment burden
pmc.ncbi.nlm.nih.gov/articles/PMC...
January 7, 2025 at 10:14 AM
Considering 'missingness' rather than DNA for appointments could improve efficiency & outcomes
Study of 824k patient records
High # missed GP appointments➡️high outpatient & inpatient hospital care but not emergency care signalling high treatment burden
pmc.ncbi.nlm.nih.gov/articles/PMC...
Study of 824k patient records
High # missed GP appointments➡️high outpatient & inpatient hospital care but not emergency care signalling high treatment burden
pmc.ncbi.nlm.nih.gov/articles/PMC...
Paper considers creation of national Gov Preventative Department Expenditure Limits (PDEL) mechanisms to identify, account & track spend on prevention
Consider prevention in 3 areas that have seen up to 78% cut:
Health
Homelessness
Children's Social care
demos.co.uk/research/cou...
Consider prevention in 3 areas that have seen up to 78% cut:
Health
Homelessness
Children's Social care
demos.co.uk/research/cou...
January 6, 2025 at 4:00 PM
Paper considers creation of national Gov Preventative Department Expenditure Limits (PDEL) mechanisms to identify, account & track spend on prevention
Consider prevention in 3 areas that have seen up to 78% cut:
Health
Homelessness
Children's Social care
demos.co.uk/research/cou...
Consider prevention in 3 areas that have seen up to 78% cut:
Health
Homelessness
Children's Social care
demos.co.uk/research/cou...
Inspiring @fphuk.bsky.social @rcgp.bsky.social webinar tody on realising potential of GPs on reducing health inequalities
Emerging models:
RCGP GPwER Pop Health & Health Inequals
DeepEnd GP pioneers
Fair Health GP trailblazers
CSFs:
Dedicated time
Dev support
Local PH link
Coproduction
VCSFE link
Emerging models:
RCGP GPwER Pop Health & Health Inequals
DeepEnd GP pioneers
Fair Health GP trailblazers
CSFs:
Dedicated time
Dev support
Local PH link
Coproduction
VCSFE link
December 19, 2024 at 2:55 PM
Inspiring @fphuk.bsky.social @rcgp.bsky.social webinar tody on realising potential of GPs on reducing health inequalities
Emerging models:
RCGP GPwER Pop Health & Health Inequals
DeepEnd GP pioneers
Fair Health GP trailblazers
CSFs:
Dedicated time
Dev support
Local PH link
Coproduction
VCSFE link
Emerging models:
RCGP GPwER Pop Health & Health Inequals
DeepEnd GP pioneers
Fair Health GP trailblazers
CSFs:
Dedicated time
Dev support
Local PH link
Coproduction
VCSFE link
A potential 'natural experiment' on alcohol policy (eg Minimum Unit Pricing) as alcohol deaths fall in Scotland & rise in England.
Alcohol deaths in NE England now higher than Scotland
People have maintained increased consumption during COVID
Particular issue in those 55-74yo
Alcohol deaths in NE England now higher than Scotland
People have maintained increased consumption during COVID
Particular issue in those 55-74yo
December 16, 2024 at 11:08 AM
A potential 'natural experiment' on alcohol policy (eg Minimum Unit Pricing) as alcohol deaths fall in Scotland & rise in England.
Alcohol deaths in NE England now higher than Scotland
People have maintained increased consumption during COVID
Particular issue in those 55-74yo
Alcohol deaths in NE England now higher than Scotland
People have maintained increased consumption during COVID
Particular issue in those 55-74yo
esearch into lack of use of science in policy making
80% said policy makers lack understanding of science
73% said researchers lack understanding of how policy work
“It’s a constant tension between the scientifically illiterate & politically clueless”
www.nature.com/articles/d41...
80% said policy makers lack understanding of science
73% said researchers lack understanding of how policy work
“It’s a constant tension between the scientifically illiterate & politically clueless”
www.nature.com/articles/d41...
December 6, 2024 at 10:19 AM
esearch into lack of use of science in policy making
80% said policy makers lack understanding of science
73% said researchers lack understanding of how policy work
“It’s a constant tension between the scientifically illiterate & politically clueless”
www.nature.com/articles/d41...
80% said policy makers lack understanding of science
73% said researchers lack understanding of how policy work
“It’s a constant tension between the scientifically illiterate & politically clueless”
www.nature.com/articles/d41...
Not sure what happened to the Gov's "Health mission"
Presumably they forgot the UK has:
2nd highest LTC burden in G7 behind USA
Only G7 country with lower employment than pre-Covid
Av. 4 LTCs for those dropping out of work due to health
obr.uk/frs/fiscal-r...
Good health underpins ALL missions.
Presumably they forgot the UK has:
2nd highest LTC burden in G7 behind USA
Only G7 country with lower employment than pre-Covid
Av. 4 LTCs for those dropping out of work due to health
obr.uk/frs/fiscal-r...
Good health underpins ALL missions.
December 5, 2024 at 1:21 PM
Not sure what happened to the Gov's "Health mission"
Presumably they forgot the UK has:
2nd highest LTC burden in G7 behind USA
Only G7 country with lower employment than pre-Covid
Av. 4 LTCs for those dropping out of work due to health
obr.uk/frs/fiscal-r...
Good health underpins ALL missions.
Presumably they forgot the UK has:
2nd highest LTC burden in G7 behind USA
Only G7 country with lower employment than pre-Covid
Av. 4 LTCs for those dropping out of work due to health
obr.uk/frs/fiscal-r...
Good health underpins ALL missions.
Resources on Story telling for system change @cpi-foundation.bsky.social
Aims:
Deepen understanding
Influence decision makers
Offer new vision
Incl:
What good story telling looks like
Challenges
Start by listening!
centreforpublicimpact.org/resource-hub...
Aims:
Deepen understanding
Influence decision makers
Offer new vision
Incl:
What good story telling looks like
Challenges
Start by listening!
centreforpublicimpact.org/resource-hub...
December 2, 2024 at 3:27 PM
Resources on Story telling for system change @cpi-foundation.bsky.social
Aims:
Deepen understanding
Influence decision makers
Offer new vision
Incl:
What good story telling looks like
Challenges
Start by listening!
centreforpublicimpact.org/resource-hub...
Aims:
Deepen understanding
Influence decision makers
Offer new vision
Incl:
What good story telling looks like
Challenges
Start by listening!
centreforpublicimpact.org/resource-hub...
Population Health Management webinar worth watching; @healthfoundation.bsky.social
Incl:
Learning from @TheKingsFund report
Panel insights
PHM moves from “hindsight to insight” for planning
Despite confusion / lack of single model people are 'getting on with it'
www.health.org.uk/about-the-he...
Incl:
Learning from @TheKingsFund report
Panel insights
PHM moves from “hindsight to insight” for planning
Despite confusion / lack of single model people are 'getting on with it'
www.health.org.uk/about-the-he...
November 18, 2024 at 11:23 AM
Population Health Management webinar worth watching; @healthfoundation.bsky.social
Incl:
Learning from @TheKingsFund report
Panel insights
PHM moves from “hindsight to insight” for planning
Despite confusion / lack of single model people are 'getting on with it'
www.health.org.uk/about-the-he...
Incl:
Learning from @TheKingsFund report
Panel insights
PHM moves from “hindsight to insight” for planning
Despite confusion / lack of single model people are 'getting on with it'
www.health.org.uk/about-the-he...
NAO review of CVD prevention focusses on NHS Health Checks
4 reccs,incl incentivising targeting highest risk
Highlights lack of evidence of effectiveness/impact (ie what happens after NHS HC)
Pressure on GP practices creates competing pressures & risk to delivery
www.nao.org.uk/reports/prog...
4 reccs,incl incentivising targeting highest risk
Highlights lack of evidence of effectiveness/impact (ie what happens after NHS HC)
Pressure on GP practices creates competing pressures & risk to delivery
www.nao.org.uk/reports/prog...
November 15, 2024 at 2:09 PM
NAO review of CVD prevention focusses on NHS Health Checks
4 reccs,incl incentivising targeting highest risk
Highlights lack of evidence of effectiveness/impact (ie what happens after NHS HC)
Pressure on GP practices creates competing pressures & risk to delivery
www.nao.org.uk/reports/prog...
4 reccs,incl incentivising targeting highest risk
Highlights lack of evidence of effectiveness/impact (ie what happens after NHS HC)
Pressure on GP practices creates competing pressures & risk to delivery
www.nao.org.uk/reports/prog...
NCMP shows CYP in deprived areas ~2x more likely to be obese by end-primary school than in least deprived (28.9% vs 14.7%), & increasing
If every region matched best in Eng➡️~27k less obese children
Deprivation gap in Y6 ⬆️1.7➡️2x in 09/10➡️23-24
www.bmj.com/content/387/...
If every region matched best in Eng➡️~27k less obese children
Deprivation gap in Y6 ⬆️1.7➡️2x in 09/10➡️23-24
www.bmj.com/content/387/...
November 14, 2024 at 2:49 PM
NCMP shows CYP in deprived areas ~2x more likely to be obese by end-primary school than in least deprived (28.9% vs 14.7%), & increasing
If every region matched best in Eng➡️~27k less obese children
Deprivation gap in Y6 ⬆️1.7➡️2x in 09/10➡️23-24
www.bmj.com/content/387/...
If every region matched best in Eng➡️~27k less obese children
Deprivation gap in Y6 ⬆️1.7➡️2x in 09/10➡️23-24
www.bmj.com/content/387/...